Trans-oral robotic surgery for a Ewing's sarcoma of tongue in a pediatric patient: a case report

Canevari, Frank Rikki; Montevecchi, Filippo; Galla, Stefania; Sorrentino, R.; Vicini, Claudio; Sireci, Federico

doi:10.1016/j.bjorl.2017.04.001

Cited by 12 publications

(8 citation statements)

References 8 publications

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“…In other large retrospective TORS series on adult subjects, the risk of postoperative hemorrhage ranged from 7 to 22% (21). Due to the low incidence of bleeding in pediatric subjects, we agree with Canevari et al (14) that tracheostomy can only be justified in selected cases and no intra-or post-operative tracheostomies were reported in the selected studies. Only 11 subjects were subjected to this procedure due to a difficulty in breathing but before the surgery.…”

Section: Discussionsupporting

confidence: 85%

Experience in Transoral Robotic Surgery in Pediatric Subjects: A Systematic Literature Review

et al. 2021

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Pediatric transoral robotic surgery (TORS) has improved from 2007 to 2020, widening its indications and feasibility. This article aims to systematically analyze the procedures performed from the first use until the current year, observing their evolution over time. A systematic literature review was performed using PubMed, Scopus, Web of Science, and Cochrane databases between March 1, 2000, and April 1, 2020. We selected studies that were written only in English and were performed in live human subjects. About 16 studies were found with a total of 73 subjects treated, among them 41 were men and 32 were women with an average age of 6.8 ± 4.99 years. There have been four (5.47%) conversions. Both functional and benign-malignant diseases have been treated in the series. Eleven (15.06%) pre-operative tracheostomy and zero post-operative tracheostomy were performed. The bleeding data was only reported in 9 studies and was <50 ml. Only one (1.36%) intra-operative complication and 10 (12.32%) postoperative complications were reported. We consider the TORS procedures in pediatric subjects safe, feasible and with good surgical outcomes up to the laryngeal region.

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Section: Discussionsupporting

confidence: 85%

Experience in Transoral Robotic Surgery in Pediatric Subjects: A Systematic Literature Review

et al. 2021

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“… Head and neck [2–22]: This category includes all publications about head and neck carcinomas and tumours and can be divided into four subcategories. The first is about the evaluation [2] and clinical cases [3] of the flex robotic system in TORS, which is a flexible robotic scope that allows the surgeon to access and visualise structures within the oropharynx, hypopharynx, and larynx.…”

Section: State‐of‐the‐artmentioning

confidence: 99%

“…The third subcategory includes publications for: clinical studies for head and neck cancer [13, 14, 16], the procedures for the patient selection in TORS [15], studies for postoperative haemorrhage and hospital revisit [18], TORS frontiers [17] and comparative outcomes of concurrent versus staged TORS [19]. The last one includes publications for TORS in paediatric patients with head and neck cancer [21, 22] and more rare tumours such as Ewing's sarcoma of the tongue [20] (see Table 1). Pharynx [23–30] : This category includes the publications for TORS in pharynx [23–25], nasopharynx (NP) [26] – located to the upper part of the pharynx –, parapharynx space tumours [27, 28] – located deep within the neck and it is a potential space lateral to the upper pharynx – and retropharynx [29, 30] – which is the posterior part of the pharynx – (see Table 2).…”

Section: State‐of‐the‐artmentioning

confidence: 99%

Transoral robotic surgery advantages and disadvantages: a narrative review

Voutyrakou

Papanastasis

Chatsikian

et al. 2018

J. eng.

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“…The Ewing's sarcoma Family of Tumors (EFT) includes classic Ewing's Sarcoma (ES) of bone, Extraskeletal (Extraosseous) Ewing's Sarcoma (EES) and malignant peripheral primitive Neuroectodermal Tumor (PNET) of bone and soft tissue [1]. James Ewing was the rst who mentioned ES of bone which was in 1921.…”

Section: Introductionmentioning

confidence: 99%

Sublingual Recurring Extra osseous Ewing Sarcoma: A Rare Case Report and Review of Literature

Amer

Al-aroomy

Ayad

et al. 2022

Preprint

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Background: Extera skeletal (Extraosseous) Ewing sarcoma is a rare primary tumor of the soft tissue, with an extremely high mortality rate and a bad prognosis which primarily affects young individuals. It occurs without particular clinical signs and can impact several different areas, which may delay diagnosis. Histopathological examination and immunohistochemistry are crucial for making a definite diagnosis. Besides this, early diagnosis is necessary for succeeding of the management. Case report: The objective of the present case report was to document a rare case of EES which originated from the floor of the mouth. A 37-year-old male patient came to our clinic with sublingual rapidly growing swelling. He was suffering from difficulty in opening his mouth and a feeling of dysphagia. The patient revealed during a history-taking procedure that he had undergone one surgery to remove the mass that had previously developed in the same area, knowing that he had been diagnosed in the first as a non-specific inflammatory reaction. Clinical examinations revealed a dome shape soft tissue mass. The biopsy specimen underwent histopathological and immunohistochemical analysis, which demonstrated poorly differentiated small blue round cells with positive immuno-expression of CD-99, NKX2-2, FLI-1, and Vimentin. The final diagnosis was EES based on the clinical presentation, histopathological pattern, and findings of the immunohistochemistry investigations. Radiotherapy and chemotherapy were chosen as treatment modalities for the case. Unfortunately, the patient died after three months due to the occurrence of multiple distant metastasis areas. Conclusion: Regardless of the relative rarity of Extraosseous Ewing sarcoma, it should be taken into account as a possible differential diagnosis for intraoral soft tissue masses, and accurate diagnosis with precise histopathological and immunohistochemical evaluations should be done as soon as possible. Moreover, improvement of management procedures of such cases generally provides the best chances for patient survival.

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Trans-oral robotic surgery for a Ewing's sarcoma of tongue in a pediatric patient: a case report

Cited by 12 publications

References 8 publications

Experience in Transoral Robotic Surgery in Pediatric Subjects: A Systematic Literature Review

Experience in Transoral Robotic Surgery in Pediatric Subjects: A Systematic Literature Review

Transoral robotic surgery advantages and disadvantages: a narrative review

Sublingual Recurring Extra osseous Ewing Sarcoma: A Rare Case Report and Review of Literature

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